Organization
DR. PETERYNE D. MILLER, M.D. LLC
Active
Organization
DR. PETERYNE D. MILLER, M.D. LLC
Active
Other names
Dr. Peteryne D. Miller, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OWENS (OFFICE MAANGER)
(918) 863-2910
Entity
Organization
Contact information
Practice address
4870 S LEWIS AVE STE 205, TULSA, OK 74105-5153
(918) 863-2910
Mailing address
4870 S LEWIS AVE STE 205, TULSA, OK 74105-5153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085110B
—
OK
Enumeration date
07/23/2018
Last updated
07/23/2018
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